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Mentor Registration Form

Your name *

Last name

Email address *

Address

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Phone number

Phone type

Highest Level of Education

Name of School Last Attended

Gender

Birthdate

Allergies/Limitations

Nuts

Dairy

Gluten

Chicken

Pork

Eggs

Other

Medical note

Please list all medications for your student.

What's your availability? *

Tuesday from 4:30 - 7:00 (Sept-May)

Wednesday night from 4:30-7:00 (Sept-May)

Friday from 9:00 - 3:00 (Summer Only June - August)

I work, but could get there as close to 4:30 on Tuesdays or Wednesdays as possible

We require that potential mentors sign on to serve with GOAT for at least a year. Are you able to commit to adventure alongside students for at least a year? *

Yes

We are a faith-based organization, believing every person has been made in the image of God and therefore is full of God-given potential. Can you with integrity, affirm this conviction? Please explain. *

Jesus said He is the way, the truth, and the life. He claimed that no one can be restored in relationship to God unless they go through Him. Do you accept this as true? Have you embraced it personally? *

In what way(s) has your community showed up for you despite you showing up for them? *

Are you or have you ever been apart of a Christ centered community? If so, in what ways is this community different than one not built on the gospel? *

Can you describe how a relationship has impacted you for the better? *

Tell me a story of how a relationship carried you through a hard time. *

Have you ever had a mentee? *

Have you ever had a mentor? If so, who was it, and how did that relationship impact you? *

What gets you excited about mentoring with GOAT? *

What makes you nervous about mentoring with GOAT? *

What is your favorite animated movie from the years 2006 - 2021? *

Who is your favorite current Hip-Hop, Pop, Rap artist? *

What is your favorite place to eat / grab coffee in Greenville? *

What do you want to be when you grow up? *

If you had to eat one thing forever, what would it be? *

You did it! We will be contacting you within the next few days for the next steps!

GOAT

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